1063519593 NPI number — SWEDISH HEALTH SERVICES

Table of content: (NPI 1063519593)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063519593 NPI number — SWEDISH HEALTH SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SWEDISH HEALTH SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SWEDISH VISITING NURSE SERVICES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063519593
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/26/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6100 219TH ST SW
Provider Second Line Business Mailing Address:
SUITE 400
Provider Business Mailing Address City Name:
MOUNTLAKE TERRACE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98043-2222
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-778-2400
Provider Business Mailing Address Fax Number:
425-608-8682

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5701 6TH AVE S
Provider Second Line Business Practice Location Address:
SUITE 404
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98108-2568
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-386-6602
Provider Business Practice Location Address Fax Number:
206-386-3720
Provider Enumeration Date:
09/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
VEILLEUX
Authorized Official First Name:
JEFF
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO & EVP
Authorized Official Telephone Number:
206-628-2502

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , with the licence number:  IS-448 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3990215 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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